Provider Demographics
NPI:1811555931
Name:OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Entity type:Organization
Organization Name:OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:MCREYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-486-3128
Mailing Address - Street 1:203 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:TONASKET
Mailing Address - State:WA
Mailing Address - Zip Code:98855-8803
Mailing Address - Country:US
Mailing Address - Phone:509-486-2151
Mailing Address - Fax:
Practice Address - Street 1:118 S WHITCOMB AVE
Practice Address - Street 2:
Practice Address - City:TONASKET
Practice Address - State:WA
Practice Address - Zip Code:98855-9287
Practice Address - Country:US
Practice Address - Phone:506-486-3191
Practice Address - Fax:509-223-1743
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-04
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health